Difference between revisions of "Value-Based Care Contracts"
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Revision as of 15:32, 19 February 2019
- Patient Population Demographics
- Fee Schedule vs Medicare – CPT/HCPCS Variants (i.e., AVW included?)
- Patient Population Benefits – co-payments, formularies, networks, etc.
- Patient Attribution
- Patient Notification & Authorizations
- Patient Documentation
- Quality Measures/Star Rating, Care Gaps
- Data Sharing – detailed claims, member lists, etc.
- Benchmarks/Budgets
- Shared Savings/Loss Calculations
- Performance Based Incentives
- Performance Based Payment Calculations
Back to Growth & Value Strategies
